健康赋权理论下的干预措施对桡骨远端骨折患者的影响  

Effect of intervention measures under health empowerment theory on patients with distal radius fractures

作　　者：张萍霞 袁甜 倪艳 吴文婷 李佳怡[1] 张玲霞[2] ZHANG Pingxia;YUAN Tian;NI Yan;WU Wenting;LI Jiayi;ZHANG Lingxia(Department of Orthopedics,Nanjing First Hospital,Nanjing Medical University Nanjing First Hospital,Jiangsu Province,Nanjing 210006,China;Department of Surgery,Nanjing First Hospital,Nanjing Medical University Nanjing First Hospital,Jiangsu Province,Nanjing 210006,China)

机构地区：[1]南京医科大学附属南京医院南京市第一医院骨科,江苏南京210006 [2]南京医科大学附属南京医院南京市第一医院外科,江苏南京210006

出　　处：《中国医药导报》2024年第13期128-131,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(82102567)。

摘　　要：目的探讨健康赋权理论下的干预措施对桡骨远端骨折患者的影响。方法选取南京医科大学附属南京医院2021年12月至2023年3月收治的100例桡骨远端骨折患者为研究对象,依据随机数字表法将其分为对照组(50例,常规护理干预)和观察组(50例,常规护理干预联合健康赋权理论下的干预措施),两组均持续干预至出院,并院外随访6个月。比较两组恢复情况;比较两组干预前及出院前自我护理能力[自我护理能力量表(ESCA)];比较两组干预前及随访6个月时腕关节活动度。结果观察组骨折愈合时间短于对照组(P<0.05);两组住院时间比较,差异无统计学意义(P>0.05)。出院前,两组ESCA评分高于干预前,且观察组高于对照组(P<0.05)。随访6个月时,两组腕关节背伸、掌屈、尺偏、桡偏活动度高于干预前,且观察组高于对照组(P<0.05)。结论桡骨远端骨折患者采用健康赋权理论下的干预措施可缩短其骨折愈合时间,提高患者自我护理能力,可促进腕关节活动度的恢复。Objective To explore the effect of intervention measures under health empowerment theory on patients with distal radius fractures.Methods A total of 100 patients with distal radius fractures admitted to Nanjing First Hospital,Nanjing Medical University from December 2021 to March 2023 were selected as the study objects.According to the random number table method,they were divided into control group(50 cases,routine nursing intervention) and observation group(50 cases,routine nursing intervention combined with intervention measures under health empowerment theory).Both groups continued the intervention until discharge and were followed up for six months.The recovery status of two groups was compared;the self-care ability(exercise of self-care agency scale [ESCA]) before intervention and before discharge was compared between two groups;and the wrist joint mobility before intervention and at six months follow-up were compared between two groups.Results The fracture healing time of observation group was shorter than that of control group(P<0.05).There was no statistical significant difference in hospitalization time between two groups(P>0.05).Before discharge,ESCA scores in both groups were higher than those before intervention,and those in observation group were higher than those in control group(P<0.05).At six months of follow-up,the mobility of wrist joint dorsalis,palmaris flexion,ulnar deviation,and radialis deviation in both groups were higher than those before intervention,and those in observation group were higher than those in control group(P<0.05).Conclusion Intervention measures under health empowerment theory can shorten the healing time,improve their self-care ability,and promote the recovery of wrist joint mobility of patients with distal radius fractures.

关 键 词：健康赋权理论 桡骨远端骨折 自我护理能力 腕关节功能 

分 类 号：R687.3[医药卫生—骨科学]